Organization
WELLCARE PHARMRX
Active
Other names
WELLCARE PHARMRX
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA WEINSTEIN CAD CEH MED THD (PRESIDENT)
(301) 657-3388
Entity
Organization
Contact information
Practice address
5530 WISCONSIN AVE, STE 100, CHEVY CHASE, MD 20815-4404
(301) 657-3388
(301) 657-4543
Mailing address
5530 WISCONSIN AVE, STE 100, CHEVY CHASE, MD 20815-4404
(301) 657-3388
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
P04450
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1740356401
NPI IDENTIFICATION NUMBER
MD
01
—
2133180
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/27/2006
Last updated
12/23/2008
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